9 дней назад
Provider Enrollment Specialist (Healthcare)
22 - 28$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Provider Enrollment Specialist (Healthcare): Preparing and managing provider enrollment applications, payer approvals, credentialing records, and enrollment data across Medicare, Medicaid, and commercial payer programs with an accent on compliance, data integrity, and workflow accuracy. Focus on resolving payer issues, maintaining Salesforce enrollment contracts, coordinating with providers and billing teams, and protecting revenue through timely application processing.
Location: Remote, nationwide within the United States; position listed in Sacramento, California.
Salary: $22.90–$28.63 per hour, excluding fringe benefits and potential bonuses.
Company
is a healthcare organization focused on transforming healthcare and improving patient, community, and employee outcomes.
What you will do
- Prepare, submit, scan, and monitor approximately 1,000 provider enrollment applications annually for Medicare, Medicaid, Blue Cross, Blue Shield, CAQH, and other payer programs.
- Track approvals, follow up with payer representatives, and communicate enrollment status to billing teams before timely filing deadlines.
- Coordinate credentialing, initial and add-on applications, updates, revalidations, deactivations, and ongoing maintenance with providers and administrators.
- Maintain Salesforce enrollment contracts, billing data, payer documentation, dashboards, reports, and bulk data imports.
- Use DocuSign to distribute provider enrollment documents, obtain signatures, and follow up on submitted documentation.
- Research and resolve payer and billing issues, support process improvements, and help protect revenue and regulatory compliance.
Requirements
- High school diploma combined with relevant work experience.
- 2–4 years of related healthcare experience; 3+ years is preferred.
- Knowledge of provider enrollment, billing or reimbursement, Medicare and Medicaid enrollment systems, NPI taxonomies, and credentialing processes.
- Knowledge of Salesforce enrollment and contract objects, dashboards, reporting, and Data Loader.
- Proficiency with Microsoft Office and familiarity with Teams, SharePoint, and other technology-based tools.
- Ability to work independently remotely on a full-time basis, manage deadlines accurately, and communicate with providers, payers, billing teams, and internal departments.
Nice to have
- Bachelor’s degree.
- Experience with Medicaid revalidations, license expirations, deactivations, managed care data flows, billing manuals, and state administrative codes.
Culture & Benefits
- Flexible work hours and virtual community events, meet-and-greets, seminars, and team-building activities.
- Monthly wellness programs, including yoga and HIIT classes.
- Health, dental, vision, HSA/FSA, life, and AD&D coverage.
- 401(k) plan with matching contributions and potential profit sharing.
- Paid time off, student loan refinancing discounts, professional development, employee assistance, and travel assistance.
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